Allowable Investments Search Tool

In general, SHIP allowable investments include activities to assist small rural hospitals with their quality improvement efforts and with their adaptation to changing payment systems through investments in hardware, software and related trainings. This includes aiding with value and quality improvement.

Unallowable investments include, but are not limited to, travel costs, hospital services, hospital staff salaries, or general supplies. Hospitals should contact their State Office of Rural Health (SORH) with questions regarding the appropriateness or fit of a certain activity or hardware/software purchase. For additional clarifications, refer to Frequently Asked Questions (FAQs).

This tool classifies a number of example investment activities as Allowable, Unallowable, or PO Pre-Approval. This is not a comprehensive list. It is only intended to provide examples of allowable SHIP activities.

Transferring Unused SHIP Funds to Another Participating Hospital
Unallowable

Unused SHIP funds cannot be transferred to another participating hospital.

Provider-Based Clinic Quality Measures Education/Training
Allowable
Value-Based Purchasing (VBP) Investment

Education/training for provider-based rural health clinic quality improvement reporting, including patient satisfaction survey scores, is allowable.

Efficiency or Quality Improvement Training in Support of PB or PPS Related Initiatives
Allowable
Payment Bundling (PB)

Trainings that improve processes through adoption of best practices and transition to value-based payment strategies such as financial and operational improvements are allowable investments.

340B Drug Pricing Program Training
Allowable
Payment Bundling (PB)

A 340B Drug Pricing Program training intended to increase efficiency or quality improvement in support of Prospective Bundling and Prospective Payment Systems initiatives is an allowable investment.

Medical Credentialing Costs
Unallowable

Medical credentialing costs and fees do not qualify as a SHIP Allowable Investment as they are ongoing operational costs.

Medical Training and Certification
Unallowable

Training and/or certification for direct patient care including behavioral health training is not allowable. Examples: SANE-A (Sexual Assault Nurse Examiner), PMHCNS-BC (Adult Psychiatric-Mental Health Clinical Nurse Specialist), CTC (Computed Tomography Certification).

Rural Hospital Credentialing or Privileging
Unallowable

Costs associated with rural hospital-wide credentialing or providing privileges to physicians are not an allowable use of SHIP funds.

COVID-19 Mitigation Activities
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Costs association with the mitigation of COVID-19 and other related respiratory disease.

COVID-19 EMS Support
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Supporting EMS as it relates to COVID-19 testing and mitigation efforts, and as part of a system improvement process

Isolation Areas
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Alterations and renovations that do not qualify as construction to create isolation areas for potential COVID-19 patients

Surface Renovations
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Alterations and renovations that do not qualify as construction to update surfaces to more sanitary materials to mitigate COVID-19

Safe and Efficient Laboratories
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Alterations and renovations that do not qualify as construction to update laboratories or other key spaces for safer and more efficient COVID-19 testing.

Automation
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Addition of automated doors, sinks, toilets, soap dispensers, etc. for the purpose of COVID-19 mitigation.

Negative Pressure Spaces
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Creating negative pressure spaces within common spaces (such as waiting rooms and bathrooms), or in rooms to treat COVID-19 positive patients.

COVID-19 Temporary Structures
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Installing tents, sheds, or other temporary structures to use for COVID-19 testing or mitigation activities.

COVID-19 HVAC
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Purchasing and installing HVAC and associated expenses to improve COVID-19 mitigation efforts.

Ionized Filtration
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Purchasing and installing ionized filtration systems for HVAC units to improve COVID-19 mitigation efforts.

Personal Protective Equipment (PPE)
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Devices for masks, fit testing masks, respirators, or other personal protective equipment used to mitigate the spread of COVID-19.

COVID-19 Laboratory Supplies
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Laboratory supplies and equipment for COVID-19 testing. 

Portable Equipment (for COVID-19)
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Portable equipment (such as a portable x-ray machine) that is used to prevent patients from being moved throughout a facility and to mitigate the spread of COVID-19.

Temperature Screening (for COVID-19)
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Temperature screening systems to be used to mitigate the spread of COVID-19. See COVID-19 Screen Staff as well.

Telemetry
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Upgrading or expanding for telemetry equipment as part of a larger COVID-19 mitigation strategy.

Screening Staff (for COVID-19)
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Cost of paying screeners placed at facility entrance doors to protect patients and employees and mitigate the spread of COVID-19.

Digital Meeting Technology (Software)
Allowable
SHIP ARP COVID-19 Testing & Mitigation

Digital meeting technology software purchases to conduct digital/virtual meetings to mitigate the spread of COVID-19 by maintaining physical distancing and reducing facility traffic. 

Proximity Badge Systems
PO Pre-Approval
SHIP ARP COVID-19 Testing & Mitigation

Costs associated with the purchase, maintenance, or operation of proximity badge systems to prevent hospital traffic and limit exposure to COVID-19.

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,560,000 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.